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2 Evidence-Based Nursing

The document discusses evidence-based practice and different models used in evidence-based nursing. It describes the Star Model and IOWA Protocol, which are two commonly used evidence-based practice models. It provides details on the stages and processes involved in each model and compares their purposes and approaches.

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137 views14 pages

2 Evidence-Based Nursing

The document discusses evidence-based practice and different models used in evidence-based nursing. It describes the Star Model and IOWA Protocol, which are two commonly used evidence-based practice models. It provides details on the stages and processes involved in each model and compares their purposes and approaches.

Uploaded by

Geoffrey Kimani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Evidence-based Nursing

Introduction
What is the idea of evidence- What is EBP (Evidence-Based
based patient care? Practice)?
 is a framework for approaching is a  Involves problem-based, self-
method of addressing care delivery directed, life-long, learning
that follows a set of guidelines (Buttaro et al., 2019)
(Buttaro et al., 2019).
 Involves exploring the link
 Healthcare practitioners must rely
on scientific data and research between research evidence,
clinical reasoning, and patient
 intended to guide clients' therapy in
a step-by-step manner values and preferences.
 It combines research, analysis and  Involves practice
patient history to provide the most
comprehensive care possible.
EBP Cont.,
Standard Indicators for
Knowledge Standard Knowledge Application
 Assuring that practice is founded on
 Each nurse has knowledge
evidence and theory, and that it
relevant to their professional complies with all applicable
activity as a result of  ongoing standards and norms (Buttaro et al.,
learning and basic education. 2019).
 Each nurse strives to improve  Using a concept, paradigm, or
their level of professional skills evidence-based technique to
on a regular basis. assess/describe the client's
condition.
 Managing a number of nursing
interventions at the same time.
 Changing the strategy after
assessing the outcome of certain
interventions.
 Taking study results and applying
them to practice and professional
services.
EBP and Quality of Care
EBP models
 The protocols serve as a
 EBP protocols Samples reference for developing
include;
and conducting a practice-
 ACE star protocol based utilization initiative
 John Hopkins Protocol (Buttaro et al., 2019).
 IOWA framework  Star model and Iowa
 stelter
protocol will be assess
protocol
among the four models in
the figure.
Knowledge Transformation Star Model
The Knowledge Transformation
Groundworks.
Knowledge Transformation:
 Before research findings may
be used in healthcare decision-
 The Star Concept of Knowledge
making, knowledge
Transformation is a tool for transformation is required.
assessing the qualities, nature,
and cycle of knowledge used in  Proof can be categorized into a
EBP (Buttaro et al., 2019). pyramid of evidence strength.
 Knowledge transformation is the  There are many different types
process of converting study of knowledge.
results from basic research  The package (form) in which
findings to influence overall knowledge resides can be
healthcare outcomes via linked to its intended use; in the
evidence-based treatment context of EBP, the intended
through a succession of stages use is medical application.
and formats.
 The utility of information in
health care decision-making is
determined by its shape.
Knowledge is transformed through the following processes:

The following processes are


The ACE Star Protocol Stages
used to change knowledge:
 summary of the status of the
science into a single
sentence
 Clinical suggestions based on
the nature of science, with
medical knowledge, the
application of conceptual
frameworks, and
patient preferences
 Recommendations are
integrated into corporate and
individual activities.
 Assessment of the impact of
measures on the desired
results (Buttaro et al., 2019)
Important Points to Reflect About Star model
 Promoting the use of EBP by direct care nurses
should be a priority.
 Use of qualitative evidence is included.
 The model's main purpose is knowledge
conversion (Christenbery, 2017).
 Non-research material (practitioner experience,
patient valued) is not taken into account.
 Identifiesthe characteristics that influence
innovation adoption.
 Among the most inherent problems of the STAR
healthcare paradigm is that it takes a long time to
be translated.
IOWA Protocol

 Efforts to improve nursing practice by using research


findings are commonly mentioned by a group of
professionals who are engaged in the same practice issue.
 This EBP paradigm is used by caregivers to improve the
quality of patient care (Buttaro et al., 2019).
 The most current edition of the IOWA protocol admits that
formal EB/EU projects start with a trigger as an impetus to
investigate potential practice adjustments.
 The starting point can be a problem-solving trigger or a
knowledge-based trigger arising from understanding of
innovation research findings..
IOWA Protocol cont.,
Cont.,
 The approach suggests three medical decision areas and a sequence
of tasks.
 Determining if the issue is important enough for the organization to
investigate alternative solutions; if so, a committee is formed to
carry out the project; if not, a new trigger is found (Buttaro et al.,
2019).
 Determining if there is enough research base; if so, the
breakthrough is launched in a real-world environment; if not, the
committee would either look for other sources of proof or perform its
own research.
 Determining if the change is suitable for implementation into
practice; if so, a change would be implemented and tracked; if not,
the committee would continue to review quality of care and seek
new ideas..
Important Points to Reflect About IOWA model
 It is suggested that you apply it at the level of organizational
systems.
 Implements EBP using a pragmatic problem-solving
methodology (Christenbery, 2017).
 The decision-making policy is facilitated by a
comprehensive flowchart
 Throughout the framework, there are clearly specified
feedback and decision points.
 The importance of a pilot project before starting a system-
wide effort is emphasized.
 Interprofessional teamwork is the goal of this project.
 Has stood the test of time
conclusion
 The Star model's main purpose is knowledge conversion
while the Iowa Model is intended to be used as a diagnostic
tool and a model for conveying knowledge in healthcare
education, management research, and practice.
 The STAR model is prompted by finding through a
methodical qualitative research, whereas the Iowa
approach is driven by a problem or knowledge (Hall &
Roussel, 2020).
 The Iowa approach will take into account the
occurrences of post-operative falls based on previous
study results in the same area.
 The STAR paradigm, on the other hand, will take a
discovery-based strategy to these instances while
bearing in mind the evidence..
References

Buttaro, T. M., Trybulski, J., Sandberg-Cook, J., & Polgar-


Bailey, P. (2019). Primary care: A collaborative practice.
Mosby.
Christenbery, T. L. (2017). Evidence-based practice in nursing:
Foundations, skills, and roles. Springer Publishing Company.
Hall, H. R., & Roussel, L. A. (2020). Evidence-based practice:
An integrative approach to research, administration, and
practice. Jones & Bartlett Learning.

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